The #H4HC Movement

Each year, state and federal governments propose new policies and legislation that affect the home health care industry along with in-home caregivers and clients they care for. H4HC is dedicated to developing positive and innovative reforms to help improve the access, quality, and effectiveness of home health care for our nation’s most vulnerable populations. 


Check out a 2023 recap of how our advocacy efforts made a difference across the country! 

Current Federal Issues

Home Health

The Centers for Medicare and Medicaid Services (CMS) have continuously cut funding to Medicare home health for the past two years in a row and have just proposed new cuts totally $280 million in 2025. Cuts to home health care funding threaten access to care to vulnerable populations. The Preserving Access to Home Health Act of 2024 (S. 2137/H.R. 5159) would stop these cuts from occurring now and in the future.


CMS released the final Medicaid Access ruling sometime in April 2024. In this rule, CMS is forcing all Medicaid providers to operate on just 20% of the reimbursement rates, severely limiting access to home care services for medically vulnerable populations throughout the country. This rule will put immense stress on the home and community-based services system.


We are advocating for CMS to define and include community-based palliative care reimbursement as concurrent care with hospice services.

Current State Issues

Select a state to learn how the H4HC movement is taking action.